Individual
MS. TIFFANY MONIQUE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
7800 W OUTER DR, DETROIT, MI 48235-3461
(313) 653-2200
(313) 255-2091
Mailing address
15910 SPRINGS VILLAGE BLVD, TAYLOR, MI 48180-4917
(313) 525-9285
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
330100105110272
MI
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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